ZICHARIEA Z WALLACE PA
NPI 1225128069
Physician Assistant - Surgical in Rockville Centre, NY
About Zichariea Z Wallace Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZICHARIEA Z WALLACE PA (NPI 1225128069) is an individual surgical provider in Rockville Centre, New York, licensed in New York (010776) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Zichariea Z Wallace Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Long Island Jewish Medical Center
Acute Care Hospitals · New Hyde Park, NYMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Zichariea Wallace's NPI number?
The NPI number for Zichariea Wallace is 1225128069. It was assigned to this individual provider in the NPPES registry on October 13, 2006.
Where is Zichariea Wallace located?
Zichariea Wallace practices at 1000 N Village Ave. Mercy Medical Center, Rockville Centre, NY 11570. The listed phone number is (516) 705-2525.
What is Zichariea Wallace's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Zichariea Wallace enrolled in Medicare?
Yes. Zichariea Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Zichariea Wallace affiliated with any hospitals?
According to CMS data, Zichariea Wallace is affiliated with Long Island Jewish Medical Center.
When was this NPI record last updated?
The NPPES record for Zichariea Wallace was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Zichariea Z Wallace, PA · NPI 1225128069
Surgical physician in Rockville Centre, New York. Individual provider, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1225128069 (Entity type: Individual)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 010776 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 N VILLAGE AVE., MERCY MEDICAL CENTER, Rockville Centre, NY 11570
- **Phone:** (516) 705-2525 · **Fax:** (516) 705-6969
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** October 10, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1225128069) · Data from the CMS NPPES public registry.